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? two primary neoplasms

  1. #1
    Northeast Kansas AAPC
    Default ? two primary neoplasms
    Medical Coding Books
    I have a patient that had a right hemicolectomy and gastrectomy and the pathology came back as:

    Portion of the stomach (gastric mass); Low-grade smooth muscle neoplasm consistent with gastrointestinal tumor.

    Right hemicolectomy: invasive and infiltrating modereately-differentiated colonic adenocarcinoma.

    Would these be two primary neoplasms???

  2. #2
    Columbia, MO
    If the only path you have is gastrointestinal tumor I would say code it as a neoplasm unspecified and the colonic adenocarcinoma as a primary neoplasm. But yes it is possible to have more than one primary neoplasm.

    Debra A. Mitchell, MSPH, CPC-H

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